Individual
PAMELA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1124 AUSTIN, CASSOPOLIS, MI 49031-8310
(269) 445-2451
Mailing address
4007 GLENELLEN CT APT 1C, MISHAWAKA, IN 46545-8234
(561) 714-7634
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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